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CN102813556A - Stent depressing second molar by using implant anchorage - Google Patents

Stent depressing second molar by using implant anchorage Download PDF

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Publication number
CN102813556A
CN102813556A CN2012102828370A CN201210282837A CN102813556A CN 102813556 A CN102813556 A CN 102813556A CN 2012102828370 A CN2012102828370 A CN 2012102828370A CN 201210282837 A CN201210282837 A CN 201210282837A CN 102813556 A CN102813556 A CN 102813556A
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China
Prior art keywords
molar
implant anchorage
premolars
cheek
support
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CN2012102828370A
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Chinese (zh)
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CN102813556B (en
Inventor
许衍
马晓晴
王震东
欧阳玉玲
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SHANGHAI STOMATOLOGICAL DISEASE CENTER
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Individual
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Abstract

The invention relates to a stent depressing a second molar by using an implant anchorage. The invention belongs to the technical field of medical instruments in the orthodontic aspect. The stent provided by the invention comprises a first molar band ring (1) and traction hooks (3). The stent is characterized in that a pair of horizontal rods (2) parallel to gingival margin is provided on a distal direction of the first molar band ring (1) corresponding to cheek and tongue sides of an adjacent second molar; a pair of traction hooks (3) is respectively provided on each of the horizontal rods (2) at proximal and distal shaft angle positions of the second molar; a palatal connection body (4) close to an adjacent second premolar is provided on the first molar band ring (1) on the palatal side in the proximal direction; a buccal connection body (5) close to the adjacent second premolar and a positioning frame (6) are provided as a buccal side of the first molar band ring (1), wherein the positioning frame (6) matches an implant anchorage pin implanted on an apical alveolar bone on the buccal side between the first molar and the second premolar.

Description

A kind of support that utilizes implant anchorage to force down second molar
Technical field
The present invention relates to a kind of support that utilizes implant anchorage to force down second molar, especially a kind of mouth cavity orthodontic is used the support that utilizes implant anchorage to force down maxillary second molar, belongs to the technical field of medical instruments of mouth cavity orthodontic aspect.
Background technology
Common owing to the long-term disappearance of grinding one's teeth in sleep of a side causes the excess elongation of jaw tooth is influenced the reparation of artificial tooth on clinical oral.Traditional solution has extremely marrow topping, surgical operation improve and just abnormal force down etc.Topping can injure the dental pulp to the jaw tooth, and surgery operating wound is big, and expense is high.So these two kinds of unfavorable popularizations of method.Implant anchorage has obtained to use widely in grinding one's teeth in sleep forcing down, especially to maxillary first molar to force down report more, to second molar to force down report less.
Utilize implant anchorage to force down to grind one's teeth in sleep the number of implanting implant anchorage to be generally 2-4, but in second molar far away, implant the anchorage nail exist following difficult point: a, far away in cheek side working place limited, very difficultly undergo surgery smoothly; B, middle palate side far away have the palate macropore to exist, and contain abundant neural blood vessel, and operational risk is bigger.And the simple anchorage of in it is near, implanting is followed closely the afterburning mesial inclination that can cause tooth.
Summary of the invention
The objective of the invention is:
To the deficiency of prior art, a kind of support that utilizes implant anchorage to force down second molar is provided, only utilize an anchorage nail, and its position is forward, be prone to implant.Can be optimized for four with adding the force, and can flexible design add force mode.Need not to consider that root of the tooth can be run into the implant anchorage nail and need to implant again in the process that is pressed into.
The object of the invention can be realized through following technical scheme:
A kind of support that utilizes implant anchorage to force down second molar; The implant anchorage that is utilized is the implant anchorage nail that is planted on the root tip alveolar bone of cheek side between the first molar and second premolars; First molar band, hook have been comprised; Cheek, the tongue side of the second molar that the direction correspondence is adjoined in said first molar band far away are provided with the horizon bar of pair of parallel in gingival margin, and horizon bar respectively is provided with the pair of traction hook in the position corresponding to shaft angle in this second molar near, far away; In first molar band near the palate side of direction be provided be close to palate side connector, the cheek side of adjoining second premolars be provided be close to the cheek side connector that adjoins second premolars and be used for the root tip alveolar bone that is planted in cheek side between the first molar and second premolars on implant anchorage follow closely the locating rack that matches.
Said palate side connector and cheek side connector are the non-linear shape structure.
Said locating rack be shaped as V-type, U type or annular.
Said every pair of hook respectively is connected through elastic thread or elastic force chain ring.
Said palate side connector and cheek side connector respectively through dental bonding type liquid resin with adjoin second premolars and fix.
Said locating rack through dental bonding type liquid resin and be planted in first molar and second premolars between implant anchorage nail on the root tip alveolar bone of cheek side fix.
Beneficial effect of the present invention is:
1, only use an anchorage nail, and its position is forward, is prone to implant;
2, can be optimized for four with adding the force, and can flexible design add force mode; Adopt at 4 and add force mode, can select the power value in each site, accurately control moving of tooth according to the particular location of tooth.
3, need not to consider that root of the tooth can be run into the implant anchorage nail and need to implant again in the process that is pressed into, significantly improve patient's in the healing process comfort level, it is painful to reduce operation.
4, simple in structure, saving cost.
Description of drawings
Fig. 1 is a structural representation of the present invention.
Sketch map when Fig. 2 uses for the present invention (looking up the visual angle).
Fig. 3 is the partial schematic diagram of the position relation of locating support 6 of the present invention and plantation nail 8.
Wherein:
1, first molar band; 2, horizon bar; 3, hook; 4, palate side connector; 5, cheek side connector; 6, locating rack; 7, elastic force chain ring; 8, plantation nail.
The specific embodiment
Below in conjunction with accompanying drawing and specific embodiment the present invention is described further
A kind of support that utilizes implant anchorage to force down second molar of the present invention; The implant anchorage that is utilized is the implant anchorage nail that is planted on the root tip alveolar bone of cheek side between the first molar and second premolars; As shown in Figure 1, comprised first molar band 1, hook 3, cheek, the tongue side of the second molar that the far away middle direction correspondence of said first molar band 1 is adjoined are provided with the horizon bar 2 of pair of parallel in gingival margin; Horizon bar 2 respectively is provided with pair of traction hook 3 in the position corresponding to shaft angle in this second molar near, far away; As shown in Figure 2, every pair of hook 3 respectively is connected through elastic thread or elastic force chain ring 7, grinds one's teeth in sleep in order to force down.
In first molar band 1 near the palate side of direction be provided be close to palate side connector 4, the cheek side of adjoining second premolars be provided be close to the cheek side connector 5 that adjoins second premolars and be used for the root tip alveolar bone that is planted in cheek side between the first molar and second premolars on implant anchorage follow closely the locating rack 6 that matches.
As shown in Figure 1, said palate side connector 4 be the non-linear shape structure with cheek side connector 5, and being provided with of non-linear shape structure mainly is at the increase degree of stability fixed time the with tooth.Palate side connector 4 and cheek side connector 5 respectively through dental bonding type liquid resin with adjoin second premolars and fix; Fig. 2 does not express dental bonding type liquid resin; Dental bonding type liquid resin adopts the routine techniques means; Mainly be to be coated on outside palate side connector 4, cheek side connector 5 and second premolars, make their fixed connections and have smooth exterior.
As shown in Figure 1, said locating rack 6 be shaped as V-type, U type or annular.As shown in Figure 3, said locating rack 6 through dental bonding type liquid resin and be planted in first molar and second premolars between plantation nail 8 on the root tip alveolar bone of cheek side fix.Fig. 3 representes that the locating support 6 and the position of plantation nail 8 concern; Do not express dental bonding type liquid resin; Dental bonding type liquid resin adopts the routine techniques means, mainly is to be coated on locating support 6 to follow closely outside 8 with plantation, makes their fixed connections and has smooth exterior.
Tradition is forced down the methods of using orthodontic bow-wire of grinding one's teeth in sleep more, but this method often causes the elongation of anchorage tooth.Utilizing the plantation nail to make anchorage can effectively force down and grind one's teeth in sleep.Support of the present invention combines the anchorage nail can apply needed strength flexibly with casting frame, guarantees the stability of anchorage simultaneously.Its mechanical mechanism is: support of the present invention connects into anchorage nail, first molar and second premolars as a whole, and the three forms a stable triangular structure.Lin etc. [1]Utilize three-dimensional finite element to discover, 1.96N can be carried in small implantation body on any angle of inclination level is to orthodontic force and point out clinical should the selection to implant small anchorage implant perpendicular to cheek side alveolar bone direction.Support of the present invention is followed closely anchorage perpendicular to cheek side alveolar bone just, so the plantation nail has good stability.When support receive close to counteracting force after, triangular structure can the assistance of anchorage nail down maintenance stablize constant.Add force mode and depend on position and the number that adds the force, generally force down when grinding one's teeth in sleep and to implant an anchorage nail respectively in cheek palate side and carry out the diagonal reinforcing, its shortcoming is to be difficult for the cheek-tongue direction of tooth is accurately controlled.Support of the present invention provides four to add the force, and the cheek that when using diagonal afterburning, just occurred grinding one's teeth in sleep inclines.If adopt add force mode at 4, can select the power value in each site according to the particular location of tooth, the moving of fine control tooth.
The power value of grinding one's teeth in sleep is extended in forcing down that the present invention is suitable in use:
The righttest power of what is called, Nikolai (1975) [2]Being defined as it is biologically and the minimum organization damage that can produce maximum, thereby does not cause tooth to move the most fast and not or the uncomfortable a kind of power of very small amount only do not arranged.When selecting to be pressed into the power value, Lee etc. [3]Use 150-200g power, Park etc. [4]Use 200-300g power.Takano etc. [5]Use 200g power, all obtain satisfied effect.Support of the present invention uses the afterburning 150-200g of power chain, effectively forces down the maxillary second molar of elongation.Generally speaking, if the power of rescuing surpasses the righttest power certain limit, the power value is big more, and the probability of root resorption is big more.Therefore the size of the just abnormal application of force must be considered the surface area of root of the tooth, uses the righttest power as far as possible, and it is different that different teeth moves required power value, and the conventional employed power of rescuing value seldom surpasses 250g [6]Use the 150g-200g pull strength to force down maxillary second molar to the patient in the support of the present invention, the result shows that this power value is more suitable.The little plantation nail of stent applications of the present invention combines casting frame to force down the maxillary second molar of elongation, can effectively obtain artificial tooth and repair the space, and safety simple to operate is worth clinical expansion.
Though here describes and illustrate the present invention, yet its purpose and do not lie in the said details of restriction because maybe various modifications and structure modify be arranged in the patent claimed range, does not depart from invention spirit through certain or some particular arrangement.
The present invention relates to all identical with the prior art prior art that maybe can adopt of part realizes.
List of references
[1]Lin?CL,Chang?SH,Chang?WJ,et?a1.Factorial?analysis?of?variables?influencing?mechanical?characteristics?of?a?single?tooth?implant?placed?in?the?maxilla?using?finite?element?analysis?and?the?statistics-based?Taguehi?method[J].Ear?J?Oral?Sci,2007,115(5):408-416
[2]Nikolai?RJ.On?optimum?orthodontic?force?theory?as?applied?to?canine?retraction.Am?J?orthod,1975;68(3);290--302
[3]Lee?JS,Km?DH,Park?YC,et?al.The?efficient?use?of?midpalatal?miniscrew?implants[J].Angle?Orthod,2004,74(5):711-714
[4]Park?Y?C,LeeS?Y,Km?D?H,et?al.Intrusion?of?posterior?teeth?using?mini-screw?implants[J].Am?J?Orthod?Dentofacial?Orthop,2003,123(6):690-694
[5]Takano-Yamamoto?T,Kuroda?S.Titanium?screw?anchorage?for?correction?of?canted?occlusal?plane?in?patients?with?facial?asymmetry[J].Am?J?Orthod?Dentofacial?Orthop,2007,132(2):237-242
[6] Duan Yinzhong, Chen Hua, Zhang Qiaoyu. the x-ray observation that periodontal sclerous tissues changed when just abnormal tooth moved. Chinese stomatology magazine, 1990,25:219-221.

Claims (6)

1. support that utilizes implant anchorage to force down second molar; The implant anchorage that is utilized is the implant anchorage nail that is planted on the root tip alveolar bone of cheek side between the first molar and second premolars; First molar band (1), hook (3) have been comprised; The cheek, the tongue side that it is characterized in that the second molar that the direction correspondence is adjoined in said first molar band (1) far away are provided with the horizon bar (2) of pair of parallel in gingival margin, and horizon bar (2) respectively is provided with pair of traction hook (3) in the position corresponding to shaft angle in this second molar near, far away; In first molar band (1) near the palate side of direction be provided be close to palate side connector (4), the cheek side of adjoining second premolars be provided be close to the cheek side connector (5) that adjoins second premolars and be used for the root tip alveolar bone that is planted in cheek side between the first molar and second premolars on implant anchorage follow closely the locating rack (6) that matches.
2. a kind of support that utilizes implant anchorage to force down second molar according to claim 1 is characterized in that said palate side connector (4) and cheek side connector (5) are the non-linear shape structure.
3. a kind of support that utilizes implant anchorage to force down second molar according to claim 1, what it is characterized in that said locating rack (6) is shaped as V-type, U type or annular.
4. a kind of support that utilizes implant anchorage to force down second molar according to claim 1 is characterized in that said every pair of hook (3) respectively is connected through elastic thread or elastic force chain ring (7).
5. a kind of support that utilizes implant anchorage to force down second molar according to claim 1, it is characterized in that said palate side connector (4) and cheek side connector (5) respectively through dental bonding type liquid resin with adjoin second premolars and fix.
6. a kind of support that utilizes implant anchorage to force down second molar according to claim 1, it is characterized in that said locating rack (6) through dental bonding type liquid resin and be planted in first molar and second premolars between implant anchorage nail on the root tip alveolar bone of cheek side fix.
CN201210282837.0A 2012-08-09 2012-08-09 Stent depressing second molar by using implant anchorage Expired - Fee Related CN102813556B (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109745130A (en) * 2019-02-20 2019-05-14 重庆医科大学附属口腔医院 A mandibular posterior tooth depression device
CN109745131A (en) * 2019-02-20 2019-05-14 重庆医科大学附属口腔医院 Mandibular posterior teeth depression device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH08275960A (en) * 1995-04-03 1996-10-22 Sankin Kogyo Kk Dentition correcting tool
CN201082198Y (en) * 2007-09-19 2008-07-09 戚仁才 Posterior teeth reinforced anchorage device for orthodontic
US20080193897A1 (en) * 2004-09-16 2008-08-14 Showa Yakuhin Kako Co., Ltd. Mouthpiece for Flattening Wrinkles
CN201719394U (en) * 2010-08-06 2011-01-26 贝珉 Fixed molar uprighting device for correcting lower molar anteversion and impaction
CN202821671U (en) * 2012-08-09 2013-03-27 许衍 Scaffold utilizing implant anchorage to lower second molar

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH08275960A (en) * 1995-04-03 1996-10-22 Sankin Kogyo Kk Dentition correcting tool
US20080193897A1 (en) * 2004-09-16 2008-08-14 Showa Yakuhin Kako Co., Ltd. Mouthpiece for Flattening Wrinkles
CN201082198Y (en) * 2007-09-19 2008-07-09 戚仁才 Posterior teeth reinforced anchorage device for orthodontic
CN201719394U (en) * 2010-08-06 2011-01-26 贝珉 Fixed molar uprighting device for correcting lower molar anteversion and impaction
CN202821671U (en) * 2012-08-09 2013-03-27 许衍 Scaffold utilizing implant anchorage to lower second molar

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Title
王增全等: "微型钛钉种植支抗在矫治单侧后牙正锁牙合中的应用", 《华西口腔医学杂志》, vol. 26, no. 1, 29 February 2008 (2008-02-29), pages 40 - 43 *
赖晓宇等: "微种植钉支抗压低伸长磨牙的临床研究", 《广东牙病防治》, vol. 16, no. 6, 30 June 2008 (2008-06-30), pages 279 - 281 *
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109745130A (en) * 2019-02-20 2019-05-14 重庆医科大学附属口腔医院 A mandibular posterior tooth depression device
CN109745131A (en) * 2019-02-20 2019-05-14 重庆医科大学附属口腔医院 Mandibular posterior teeth depression device

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